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General NPI Number Information
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NPI Number | 1427038603
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Entity Type | Individual
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Provider Name | GEOFFREY H BASSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2006
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 111 E 210TH ST
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City | BRONX
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State | NY
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Zip | 10467
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Country | US
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Telephone | 718-920-5561
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Fax |
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Provider Business Mailing Address
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Address Line | 19 E 80TH ST APT 10D
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City | NEW YORK
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State | NY
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Zip | 10075-0170
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Country | US
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Telephone | 212-249-5230
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 103293
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 103293
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number | 103293
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License Number State | NY
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